NPI: 1295842557 · POMONA, CA 91767 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 743 | $21K |
| 2019 | 680 | $21K |
| 2020 | 750 | $25K |
| 2021 | 1,210 | $44K |
| 2022 | 750 | $25K |
| 2023 | 953 | $59K |
| 2024 | 919 | $30K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2740 | 59 | 26 | $28K | |
| D9430 | 873 | 842 | $28K | |
| D0120 | 536 | 534 | $25K | |
| D0230 | 1,895 | 1,193 | $24K | |
| D0150 | 302 | 301 | $20K | |
| D1110 | 238 | 237 | $20K | |
| D4910 | 220 | 220 | $16K | |
| D1120 | 400 | 395 | $13K | |
| D2751 | 24 | 12 | $11K | |
| D0220 | 872 | 796 | $10K | |
| D4341 | 135 | 37 | $9K | |
| D0210 | 168 | 168 | $8K | |
| D2391 | 143 | 44 | $7K | |
| D2954 | 25 | 14 | $3K | |
| D0274 | 115 | 115 | $2K |